Postburn volar digital contractures in Nigerians

In fifty-six Nigerian children, 178 digits with volar contractures have been treated by skin grafts and flaps during the past three years. The severity of contracture was graded and corrective treatment planned accordingly. Patients have been reviewed from three months to three years after correction. The results have been better than expected using Wolfe grafts rather than split skin for the majority, and direct flaps only when imperative.